Thompson R J, Gil K M, Burbach D J, Keith B R, Kinney T R
Duke University Medical Center, Durham, North Carolina 27710.
J Consult Clin Psychol. 1993 Jun;61(3):468-74. doi: 10.1037//0022-006x.61.3.468.
In this study, 64% of children aged 7-12 years with sickle cell disease were found to have a parent-reported behavior problem, and 50% met the criteria for a Diagnostic and Statistical Manual of Mental Disorders (3rd ed.) diagnosis based on a structural clinical interview of the child. Internalizing types of behavior problems and diagnoses were the most frequent. Support was provided for a transactional stress and coping model in delineating the processes associated with child adjustment. In particular, maternal anxiety accounted for 16%-33% of the variance in mother-reported internalizing and externalizing behavior problems, respectively, and child pain-coping strategies accounted for 21% of the variance in child-reported adjustment problems.
在本研究中，发现64%的7至12岁镰状细胞病患儿存在家长报告的行为问题，50%的患儿根据对其进行的结构性临床访谈符合《精神疾病诊断与统计手册》（第3版）的诊断标准。内化型行为问题及诊断最为常见。研究为一种交互应激与应对模型提供了支持，该模型用于描述与儿童适应相关的过程。具体而言，母亲的焦虑分别占母亲报告的内化和外化行为问题差异的16%至33%，而儿童的疼痛应对策略占儿童报告的适应问题差异的21%。
